JP3469086B2 - Recording medium recording a care management system, a care plan creation method, and a care plan creation program - Google Patents

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a care management system for providing an optimal care plan for a care recipient (for example, an elderly person who needs care), and more particularly to a care management system on a computer screen. The technology relates to trial and error.

[0002]

2. Description of the Related Art TAI (Typology of Classification) is used to classify care recipients according to the degree of hand care and aging progress in care.
A method called the Aged with Illustrations: a method of classifying care recipients using illustrations) has been proposed. For example, "Care target care plan visual creation" (Nikkei B
(Published by Company P) describes a procedure for creating a care plan for a care recipient using the TAI method.

[0003]

[Problems to be Solved by the Invention] In TAI, for a care recipient, a level determination is made for each item of spirit, activity, diet, excretion, and medical care, and a plurality of care recipients are selected based on the level determination result. Work to classify into types. However, in the past, since all such type classifications were performed manually, it took a considerable amount of time to complete an optimal care plan for each care recipient.

Depending on the condition of the care recipient, home remodeling and home helpers may be required.
There are various demands for each customer, such as when they have no choice but to give up money to use home improvement or home helpers, or when they want to partially perform home improvement, and it is not easy to create an optimal care plan.

Further, conventionally, it is common for an expert to verbally explain the nursing situation when a nursing-related service and product are provided, and the customer can make his / her own judgment regardless of the expert. Choosing the best service or product has never been easier.

The present invention has been made in view of the above points, and an object of the present invention is to provide a care plan which is suitable for each care recipient by a simple procedure and can be easily modified. -To provide a recording medium in which a management system, a care plan creation method, and a care plan creation program are recorded.

[0007]

In order to solve the above-mentioned problems, the present invention provides a care management device for creating a care plan consisting of a care service and a product, which is suitable for each care recipient, and has an activity level. , Movement type, T
Care type consisting of input parameters including AI type, presence / absence of problem behavior and excretion control level, storage device storing recommended care plan corresponding to the care type, activity level, mental level, meal level and excretion Level selection means for selecting each level of the TAI type determination item consisting of four types of levels, and whether or not the activity level selected by the level selection means is above a specific value, and if not, TAI A first determining means for determining the type as a first type, and in other cases, determining whether or not the selected mental level is equal to or higher than a specific value, and if not, determining as a second type, In other cases, the TAI type judging means for judging the TAI type by the second judging means which is the third type, and the movement type and the level of excretion control are selected. An auxiliary question means for, and the selected activity level, and whether the problem behaviors corresponding to the spirit level said selected and said determined TAI type,
Recommended care plan selection means for reading a recommended care plan from the storage device, which corresponds to the selected care type including the selected movement type and the selected level of excretion control, and the determined TAI type or the care. Main menu display control means for displaying on the display device a main menu for selecting an optionally selectable nursing care service and product corresponding to the type, and displayed when the nursing care service and product are selected from the main menu. Detailed menu display control means for displaying a detailed menu for setting and changing items on the display device.

[0008]

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[0029]

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, a care management system to which the present invention is applied will be specifically described with reference to the drawings. INDUSTRIAL APPLICABILITY The present invention provides an easy-to-understand display of nursing care situations with and without the provision of care-related services and products necessary for care recipients, such as care services, home remodeling and welfare equipment. It was done.

(First Embodiment) FIG. 1 is a block diagram of a first embodiment of a care management system according to the present invention. The system of FIG. 1 includes a control device 1, a display device 2, an input device 3, a storage device 4, a printer 5, and an IC.
And a card recording device 6. The control device 1 determines the care type and creates a care plan, and displays the display device 2
Display control for. More specifically, the input device 3 is composed of a mouse, a keyboard, etc., and mainly selects an icon displayed on the display device 2. Information of the icon selected by the input device 3 is transmitted to the control device 13, and the control device 13 rewrites the screen of the display device 2 based on this information. The IC card recording device 6 records various information regarding the final care plan created by the control device 1 in an IC card (not shown).

FIG. 2 is a flowchart showing the processing operation of the controller 1. First, in step S1 of FIG.
The control device 1 displays a question for TAI type determination on the display device 2. The TAI type determination question consists of four types of questions regarding mental, activity, diet, and excretion. These questions select any one of the six levels (level 5 to level 0).

A menu screen is provided for each of these questions. FIG. 3 is a diagram showing a display example of a menu screen for questions regarding meals. In this menu screen, explanations of each level are displayed in characters and illustrations so that the level can be easily and accurately selected. Further, an icon representing the number of levels is displayed in the left side display area R1 in the menu screen, and by selecting one of these icons with the input device 3, the level corresponding to the icon is selected. In addition, the lower left corner display area R2 in the menu screen
When the icon provided in is selected with the input device 3, the next question is displayed.

Among the above-mentioned four kinds of questions, in the questions concerning the spirit, for example, the case where the orientation is maintained without the deterioration of the judgment and the memory which hinder the daily life, and the level 5 is given. To do. In addition, the level 4 is the case where all the correct answers to the care recipient for the orientation test regarding their location, today's date and time, the content of their meal, etc., and no problem behavior. In addition, if all the questions in the orientation test are correct, there is a problem behavior. Furthermore, the case where the orientation test has an incorrect answer and there is no problem behavior is set to level 2, and the case where the orientation test has an incorrect answer and there is problem action is set to level 1. Ask the person to be cared for their name, and if they cannot answer, they will be assigned level 0.

On the other hand, in the question regarding activities, the level 5 is a case where a person can live a normal life with a margin including going out. In addition, if you can do bathing and climbing stairs, try Level 4. In addition, if you manage to walk on your own, but the surrounding people feel a considerable risk, you set it as level 3. In addition, if the person cannot move by himself but is able to get up on the bed by himself, the level 2 is set. In addition, if you can get up on the bed by yourself, but you can't turn over, you will set it to level 1. In addition, the level 0 is set when the person cannot turn over on the bed by himself.

On the other hand, in the question regarding meals, level 5 is the case where one can eat himself without spilling the meal.
And Also, if you set it up, you will be able to eat at your own level 4 level. If the caregiver needs some help with food but the caregiver brings it to the mouth, it will be relatively easy to eat. Also, if the caregiver carries the meal to the mouth and the reaction / swallow is poor, the level is set to 2. In addition, level 1 is used when tube feeding such as nasal tube feeding is used. In addition, level 0 is given when parenteral nutrition is taken.

When all four types of questions described above have been answered, the control device 1 proceeds to step S2 in FIG. 2 and performs TAI type determination processing. In this processing, any one of the nine TAI types is selected with the answer to each question in step S1 as an input parameter.

4 and 5 are detailed flow charts of the TAI type determination process of step S2 of FIG. First, in step S51, the control device 1 determines whether or not the level (called activity level) corresponding to the question regarding the activity is 3 or more. If the activity level is 3 or more, the process proceeds to step S52, and the control device 1 determines whether or not the answer level to the question regarding the spirit (hereinafter referred to as the spirit level) is 4 or more. If it is 4 or more, the process proceeds to step S53, and the control device 1
Determines whether the mental level, activity level, dietary level, and excretion level are all 5. If all of these levels are 5, the process proceeds to step S54, and the control device 1 selects the B5 type. This B5 type is a state in which assistance is not required.

When the determination in step S53 is negative, the process proceeds to step S55, and the control device 1 determines whether the meal level and the excretion level are 4 or more. If the meal level and the excretion level are 4 or more, the process proceeds to step S56, and the control device 1
Selects B4 type. This B4 type is
Excretion does not require assistance, but is not completely independent.

When the determination in step S55 is negative, that is, at least one of the meal level and the excretion level is 3
In the following cases, the control device 1 proceeds to step S57
Select 3 types. This B3 type is a boundary group condition that requires assistance for either food or excretion.

On the other hand, if it is determined in step S52 that the mental level is less than 4, the process proceeds to step S58 in FIG.
It is determined whether or not the above. If both the meal level and the excretion level are 4 or more, the process proceeds to step S59, and the control device 1
Select C4 type. This C4 type is a dementia group state in which neither assistance with meals nor excretion is required.

When the determination in step S58 is negative, the process proceeds to step S60, and the control device 1 determines whether one of the meal level and the excretion level is 4 or more and the other is 3 or less. When this determination is affirmed, the process proceeds to step S61, and the control device 1
Selects the C3 type. This C3 type is a state of the dementia group in which either food or excretion requires assistance.

When the determination in step S60 is denied, that is, when both the meal level and the excretion level are 3 or less, the process proceeds to step S62, and the control device 1 selects the C2 type. This C2 type is a state of dementia group that requires assistance for both diet and excretion.

On the other hand, if the determination in step S51 in FIG. 4 is denied, that is, if the activity level is 2 or less, the process proceeds to step S63 in FIG. 5, and the control device 1 determines whether the meal level is 4 or more. To judge. If the meal level is 4 or more, the process proceeds to step S64, and the control device 1 sets the I3 type. This I3 type is a state of dementia group that does not require assistance during meals.

If the determination in step S63 is negative, the process proceeds to step S65 and it is determined whether or not the meal level is 3. If the meal level is 3, the process proceeds to step S66, and the control device 1 sets the I2 type. This type I2 requires a dietary assistance, but is in a state of a movement assistance group in which it is possible to eat relatively easily.

When the determination in step S65 is negative, that is, when the meal level is 2 or less, the process proceeds to step S67, and the control device 1 sets the I1 type. This I1
The type is a state of a movement assistance group in which there is a high risk of aspiration or time is required for dietary assistance.

When the TAI type determination processing in step S2 in FIG. 2 is completed, the control device 1 displays the supplementary question on the display device 2 in step S3. This supplementary question examines the walking ability and excretion ability of the caregiver from a medical / physiological aspect, and consists of a question regarding the movement type of the care recipient and a question regarding excretion control.
The question regarding the movement type is to choose one of the three options: walking by yourself, walking with a cane, and wheelchairs required. The question regarding excretion control is that you can excrete yourself and you cannot excrete yourself. ,
One of the two is selected.

When these two questions are answered, the control device 1 then proceeds to step S4 and selects the care type. This care type is classified into each item of the activity level of the care recipient, the movement type, the TAI type, the presence or absence of problematic behavior, the level of excretion control, the level of home remodeling, and the time of care. I went there. For example, the activity level is level 0 to level 5
The movement types are "none", "cane", "walker", and "wheelchair".
The presence or absence of problem behavior is “Yes” or “No”, excretion control is “Yes” or “No”, home remodeling is “Standard” or “Deluxe”, and nursing time is “Day”. It is classified into "medium", "night", and "all day".

In order to simplify the processing, the control device 1 selects "standard" as the initial value of the house remodeling level and "daytime" as the care time zone. Also,
The activity level and the presence / absence of problem behavior are selected according to the answer to the question in step S1.

When the selection of the care type in step S4 is completed, the control device 1 proceeds to step S5 and selects a recommended care plan. The storage device 4 of FIG. 1 stores recommended care plans corresponding to various care types,
The control device 1 reads out the recommended care plan corresponding to the care type of the care receiver from the storage device 4 based on the classification result of step S4.

FIG. 6 is an example of a recommended care plan stored in the storage device 4. In the storage device 4, the above-mentioned 7
Multiple types of recommended care plans that are uniquely determined are stored using the care type consisting of types of items as input parameters. The recommended care plans shown in FIG. 6 are only a part, and actually, the recommended care plans corresponding to the number of types of care types are stored in the storage device 4.

When the control device 1 reads out the recommended care plan corresponding to the care giver from the storage device 4, the process proceeds to step S6 and the main menu is displayed. The present embodiment includes nine types of main menus, and each main menu corresponds to the TAI type classified by the TAI type determination processing in step S2. That is, the control device 1 displays the main menu screen corresponding to the TAI type obtained by the process of step S2.

A main menu screen corresponding to the care type classified in step S4 may be displayed.

FIG. 7 is a diagram showing a display example of the main menu screen when the C3 type is selected. As shown in the figure, the main menu has an area R3 for explaining the outline of the corresponding TAI type in text and an area R for displaying an illustration.
4 and a region R5 for displaying icons of care-related services and products that can be selected as options. Further, on the right side of the region R5, a region R6 for making a selection regarding the movement type of the care recipient and a region R7 for making a selection regarding excretion control of the care recipient are provided. Each icon displayed in the areas R5 to R7 can be arbitrarily selected by the input device 3, and when any one of the icons is selected, a detailed menu corresponding to the icon is displayed. In addition, each icon R8 in the region R5
On the lower side of ~ R11, the charges for providing care-related services and products corresponding to each icon are displayed.

In the area R5 of the main menu screen of FIG. 7, an icon R8 selected when using a home helper and an icon R selected when performing a home remodeling.
9 and icon R selected when using welfare equipment
10 and an icon R11 selected when creating a care plan sheet are provided. In addition, regions R6 and R7
The icon inside is selected when the content selected in step S3 of FIG. 2 is changed.

When the home helper icon R8 is selected while the main menu screen of FIG. 7 is displayed, the control device 1 proceeds to step S7 of FIG. The menu screen is displayed on the display device 2. In this menu screen, a region R21 that displays a daily life image of a housewife who is currently caring for a time chart, a region R22 that displays a life image when using a home helper, and a current An area R23 displaying an image of nursing care, an area R24 displaying an image of nursing care when using a home helper, and an area R25 displaying an image of a housewife's life when using a home helper. Is provided.

In the initial state, a time chart corresponding to the recommended care plan selected in step S4 of FIG. 2 is displayed in the region R22, and an illustration corresponding to the recommended care plan is displayed in the region R24.

The menu screen of FIG. 8 is also provided with an area R26 for explaining the usage time of the home helper and an area R27 for displaying one-point advice for the customer. Further, the menu screen of FIG. 8 is provided with buttons R28 to R30 that can be selected by the input device 3. Button R28 is for instructing to display the home helper's one-week plan. Buttons R29, R3
0 indicates switching to another menu display.

On the home helper menu screen shown in FIG.
The time zone in which the home helper is used can be arbitrarily set, and by selecting one of the icons on the time chart displayed in the region R22 with the input device 3, the use time of the home helper can be arbitrarily set. Can be set.

When setting the day of the week when the home helper is used, the icon R28 in FIG. 8 is selected. As a result, the weekly plan setting screen as shown in FIG. 9 is displayed. On this weekly plan setting screen, only on Saturdays and Sundays,
The choice can be 3 days a week, 5 days a week, or every day. Further, in this screen, time chart display regions R31 to R34 are provided corresponding to each plan, and the use time zone of the home helper can be set / changed in these regions.

On the other hand, when the living environment maintenance icon R9 is selected while the main menu screen of FIG. 7 is displayed, the control device 1 proceeds to step S8 of FIG. Display the living environment maintenance menu screen. On this menu screen, there are an area R41 for displaying the interior of the room as an illustration, an area R42 for selecting one of "minimum" and "full", and one of "standard" and "amenity" types. A region R43 to be selected, a region R44 to select a place for housing modification, a region R45 to select a specific item for housing modification, a region R46 to select a specific item for welfare equipment, and advice to the customer are displayed. A region R47 is provided.

Further, in the living environment maintenance menu screen of FIG. 10, in order to explain the necessity of home remodeling to the customer in an easy-to-understand manner, an area R48 for displaying an image of nursing care before remodeling the house and a house An area R49 for displaying an image of the state of care after the modification is provided, and an illustration including the item selected by the input device 3 is displayed in this area R49. An area R50 for instructing switching of the menu screen is also provided.

In the initial state, an item corresponding to the recommended care plan is automatically selected and an illustration including the item is displayed in the areas R41 and R49. Figure 10
When items are set and changed in the menu screen of, the display of the regions R41 and R49 is switched accordingly. For example, the region R41 in FIG. 10 has a handrail, a stand,
The state where the mini slope and the sludge are selected is shown.

Area R of the living environment maintenance menu screen of FIG.
The welfare equipment that can be selected at 46 relates to housing, and other welfare equipment (for example, wheelchairs) can be selected by
Welfare tool icon R10 on the main menu screen of FIG.
By selecting. When the icon R10 is selected, the control device 1 proceeds to step S9 in FIG. 2 to display the welfare equipment menu screen as shown in FIG.

On the welfare equipment menu screen, a region R61 for selecting items related to movement / transfer, a region R62 for selecting items related to meal assistance, a region R63 for selecting items related to excretion, and a region for selecting items related to changing clothes. R64, a region R65 for instructing switching of the menu screen, and a region R66 for displaying an illustration.
R69 and are provided.

Regions R66 to R69 are regions R61, respectively.
Up to 64 are provided, and in each of the regions R66 to R69, an illustration showing a situation in which the corresponding item of the welfare tool is not selected and an illustration showing the selected situation are displayed. In FIG. 11, the illustration of the regions R66 to R69 is omitted.

Detailed items of care-related services and products displayed in the above-mentioned home helper menu screen, living environment maintenance menu screen, and welfare equipment menu screen can be arbitrarily selected by the input device 3, and It is also possible to cancel the item once selected. When such item changes occur,
In response to this, the control device 1 changes the illustration in the menu screen and re-calculates the service provision fee.

On the other hand, when the care plan icon R11 is selected while the main menu of FIG. 7 is displayed, the control device 1 proceeds to step S10 of FIG. 2 to display the care plan sheet shown in FIG. Display the screen. In this screen, a region R81 that displays an outline of the contents selected on the home helper menu screen and a region R82 that displays an outline of the contents selected on the living environment maintenance menu screen.
An area R83 for displaying an outline of the contents selected on the welfare equipment menu screen, an area R84 for displaying the total amount of charges for all the selected items, and an area R85 for displaying a comment for each selected item. An area R86 for instructing switching of the menu screen and an icon R87 for instructing to print the care plan sheet displayed on the screen are provided.

Of these, in the area R81, illustrations of nursing care before and after using the home helper are displayed respectively, and below that, the amounts of the detailed items selected by the input device 3 are displayed. Further, in the area R82, the state of the room before and after the home remodeling is displayed as an illustration, and the amount of the detailed item selected by the input device 3 is displayed below it. In the area R83, the situation before and after using the welfare tool is displayed as an illustration, and the amount of the detailed item selected by the input device 3 is displayed below it.

As described above, in the first embodiment, the care plan is displayed to the customer when the care-related services and products such as home helpers and home remodeling are not used, and when the care-related services are used. The contents of can be visually grasped and a care plan can be created as intended. Also, if you add or cancel the selection of items related to home remodeling or welfare equipment,
Since the illustration is changed, the customer can accurately determine whether or not to select each item. Furthermore, since the amount of each selected item and the total amount thereof can be confirmed on the screen in real time, it is possible to set an optimal care plan according to the payment ability of each customer. In addition, since a plurality of menu screens can be freely switched, the care plan can be recreated by a simple procedure as many times as necessary until the user is satisfied.
In addition, since a large number of recommended care plans are stored in the storage device 4 in advance, the optimum recommended care plan can be promptly provided even if the customer's request varies.

The care plan created in step S10 of FIG. 2 is printed on the printer 5 by selecting the icon R87 shown in FIG. In addition, the created care plan is converted into electronic information and the IC card recording device 6
Is stored in the IC card via. This IC card is usually handed to a customer and used for payment of a service providing fee according to a care plan. More specifically, for example,
Store the monetary information corresponding to the monthly charges required for each service and product etc. provided in the IC card, and when the payment is required, insert the IC card into the IC card reader and settle the payment. By deducting the required amount of money, the customer does not have to carry cash with him, and convenience and maintainability are improved.

(Second Embodiment) The second embodiment is TA
A sub-category for I-type judgment is provided to further classify the types of care recipients, and a care service questionnaire and care service plan to be submitted to the Ministry of Health and Welfare are automatically created.

The second embodiment has a block configuration similar to that of FIG. 13 and 14 are flowcharts showing the processing operation of the control device 1 in the second embodiment. First, in step S100 of FIG. 13, the control device 1
The opening screen shown in FIG. 15 is displayed. On this screen, select button SB1 for inputting personal information such as customer's name and select button SB for determining TAI type are displayed.
2, a selection button SB3 for certifying the degree of long-term care, and a selection button SB4 for creating a service plan are displayed. In addition, an outline explanation of the present system is displayed in the display area W1 in the screen.

Here, when the customer selects the selection button SB1, the control device 1 displays the menu screen shown in FIG. 16 for inputting the current care problems. In the display area W2 in this screen, a list of items in which the action of the person (care recipient) has become dangerous (difficult) is displayed, and the display area W3
Displays a list of items in need of care. Also,
The display area W4 displays a list of items having a large care burden, and the display area W5 displays a list of items related to the caregiver's own problem.

The customer selects a corresponding item from the items listed in the display areas W2 to W5 with a mouse or the like.
When the customer selects any item in the display areas W2 to W4, the illustrations corresponding to the selected item are displayed in the display areas W6 to W8, respectively.

When the processing of step S101 of FIG. 13 is completed, the control device 1 displays a menu screen (see step S102) for inputting personal basic information such as the address, name and family structure of the care recipient and the caregiver. Hereinafter, the basic information input screen) is displayed on the display device 2. FIG. 17 is a diagram showing an example of the personal basic information input screen. The display area W9 in FIG. 17 displays an input area for inputting the names and addresses of the care recipient and the caregiver, and the display area W10 displays an input area for inputting the family structure. The information input to the display area W9 is used to create a nursing care service questionnaire or a nursing care service plan described later, and the information input to the display area W10 is to be provided with the security service described below. Used in determining.

When the process of step S102 of FIG. 13 is completed, the control device 1 executes the process of FIG.
The TAI type determination processing similar to that in step S2 is performed. TAI
In the type determination process, the caregiver's activity state, mental state, food intake ability and excretion state are each level 0.
It is classified into 6 levels of level 5, and based on these classification results, the same processing as step S2 in FIG.
Determine the TAI type.

FIG. 18 is a diagram showing a display example of a screen for selecting the activity state of the care-receiver. Display area W11 of this screen
6 types of selection buttons from level 0 to level 5 are displayed on the display area, and an outline explanation of each level is displayed on the display area W12. When the customer selects one of these selection buttons, that level is highlighted and an illustration corresponding to that level is displayed in the display area W13.

Similarly, FIG. 19 is a display example of a screen for selecting the mental state of the care recipient, FIG. 20 is a display example of a screen for selecting the food intake ability of the care recipient, and FIG. 21 is an excretion state of the care recipient. It is a figure which shows the example of a display of the screen which selects. The customer selects the corresponding level of the care-receiver for each screen shown in FIGS. 18 to 21.

When the TAI type determination process is completed, the control device 1 performs the TAI subcategory process as shown in step S104 of FIG. TAI subcategory processing is TAI
This is to supplement the type judgment, and specifically,
For each item belonging to a subcategory such as bathing status and housework status of the care recipient, select the care recipient level.

FIG. 22 is a diagram showing a display example of a menu screen for selecting the housework ability of the care giver, showing an example in which the housework ability of the care giver is classified into 6 levels from level 0 to level 5. . An illustration corresponding to each level is displayed in the display area W14 of FIG. When the customer selects one of the six illustrations in the display area W14 with the mouse or the like, the illustration corresponding to the selected level is displayed in the display area W15. Further, the display area W16 displays a brief description of each level. When the button labeled "Explanation" in the display area W16 is selected with a mouse or the like, a detailed explanation is displayed.

As the TAI subcategories, it is not always necessary to provide two bathing situations and housework situations, and only one of them may be provided. Alternatively, other items may be provided as subcategories.

23 to 31 are flowcharts showing an example of TAI subcategory processing. The control device 1 is shown in FIG.
23 to 31 is performed based on the result of the TAI subcategory process of step S104 of 3.

For example, by the TAI type determination processing, B5
When it is determined to be B4, B3 type (Border Group), the processes of FIGS. 23, 24, and 25 are performed.
Further, when it is determined to be C4, C3, C2 type (Confused Group: dementia group), FIGS.
Process. In addition, I3, I2, I1 type (Immobi
le Group: movement assistance group), the processes of FIGS. 29, 30, and 31 are performed, respectively.

The processing of FIGS. 23 to 31 will be described below step by step. When it is determined to be B5 type by the TAI type determination process, the control device 1 determines whether or not the care ability of the care recipient is at level 4 or higher, as shown in step S121 of FIG. If the level is 4 or higher, it is determined that the care recipient is of the B5-1 type, as shown in step S122. If it is less than level 4, it is determined that the care recipient is of B5-2 type, as shown in step S123.

On the other hand, when it is determined to be B4 type by the TAI type determination processing, the control device 1 proceeds to step S in FIG.
As shown in 131, it is determined whether the activity status of the care-receiver is level 3 or higher and the housework ability is level 4 or higher. If the determination in step S131 is affirmative, as shown in step S132, it is determined that the care recipient is of the B4-1 type. When the determination in step S132 is negative, as shown in step S133, it is determined whether or not the activity state of the care recipient is level 3 or higher and the housework ability is level 3 or lower. If the determination in step S133 is affirmative, as shown in step S134, the care recipient determines B4-
Determined to be 2 types. When the determination in step S133 is negative, it is determined whether or not the activity state of the care recipient is level 2 and the housework ability is level 4 or higher, as shown in step S135. If the determination in step S135 is positive, as shown in step S136, the care recipient B
It is determined to be 4-3 type. If the determination in step S135 is negative, it is determined that the care recipient is of the B4-4 type, as shown in step S137.

On the other hand, if it is determined to be B3 type by the TAI type determination processing, the control device 1 proceeds to step S in FIG.
As shown in 141, it is determined whether or not the activity state of the care recipient is at level 3 or higher. The activity status of the care recipient is level 3
If it is above, as shown in step S142, the care recipient is determined to be B3-1 type, and if it is less than level 3, as shown in step S143, the care recipient is B3-2 type. To determine.

On the other hand, if the TAI type determination processing determines that the C4 type is selected, the control device 1 proceeds to step S in FIG.
As shown in 151, it is determined whether the mental state of the care recipient is level 0 or 2, and if it is level 0 or 2, the care recipient is a C4-1 type as shown in step S152. If there is level 1 or 3, it is determined that the care recipient is of C4-2 type, as shown in step S153.

On the other hand, when it is determined to be C3 type by the TAI type determination processing, the control device 1 proceeds to step S in FIG.
As shown in 161, it is determined whether the mental state of the care recipient is level 0 or 2, and if it is level 0 or 2, the care recipient is a C3-1 type as shown in step S162. If there is a level 1 or 3, it is determined that the care recipient is of the C3-2 type, as shown in step S163.

On the other hand, when the TAI type determination process determines that the C2 type is selected, the control device 1 proceeds to step S in FIG.
As shown in 171, it is determined whether the mental state of the care recipient is level 0 or 2, and if it is level 0 or 2, the care recipient is a C2-1 type as shown in step S172. If there is a level 1 or 3, it is determined that the care recipient is of the C2-2 type, as shown in step S173.

On the other hand, when it is determined to be I3 type by the TAI type determination process, the control device 1 proceeds to step S in FIG.
As shown in 181, the activity status of the care recipient is level 2
, And whether the mental state is level 4 or higher, and if the determination is affirmative, as shown in step S182,
The care recipient determines that it is I3-1 type.

If the determination in step S181 is negative, as shown in step S183, it is determined whether or not the activity state of the care recipient is level 1 or lower and the mental state is level 4 or higher. If the result is affirmative, as shown in step S184, it is determined that the care recipient is of the I3-2 type.

When the determination in step S183 is negative, as shown in step S185, it is determined whether the activity state of the care giver is level 2 and the mental state is level 1 or 3, and the determination is If the result is affirmative, as shown in step S186, it is determined that the care recipient is of the I3-3 type.

If the determination in step S185 is negative, as shown in step S187, it is determined whether or not the activity state of the care recipient is level 1 or lower and the mental state is level 1 or 3. Is affirmed, step S188
As shown in, the care receiver determines that the person is I3-4 type.

If the determination in step S187 is negative, as shown in step S189, it is determined whether the activity state of the care recipient is level 2 and the mental state is level 0 or 2, and the determination is made. If the result is affirmative, as shown in step S190, the care recipient determines that the person is I3-5. When the determination in step S189 is negative, as shown in step S191, the care-receiver determines to be of the I3-6 type.

On the other hand, when it is determined to be the I2 type by the TAI type determination processing, the control device 1 proceeds to step S in FIG.
As shown in 201, the caregiver's mental condition is level 0,
It is determined whether or not any of 2, 4, and 5 is satisfied, and if the determination is affirmative, the care recipient is determined to be of the I2-1 type, as shown in step S202. If the determination in step S201 is negative, as shown in step S203, it is determined that the care recipient is of the I2-2 type.

On the other hand, when the TAI type determination processing determines that the I1 type is selected, the control device 1 proceeds to step S in FIG.
As shown in 211, the caregiver's mental state is level 0,
It is determined whether or not any of 2, 4, and 5 is satisfied, and if the determination is affirmative, the care recipient is determined to be of the I1-1 type, as shown in step S212. If the determination in step S201 is negative, as shown in step S213, it is determined that the care recipient is of the I1-2 type.

When the process of step S104 of FIG. 13 is completed, the control device 1 displays a screen showing the TAI type determination result on the display device 2 as shown in step S105. FIG. 32 is a diagram showing a display example of a screen showing the TAI type determination result. In the display area W17 of FIG. 32, the symbols B3 to B5, C2 to C4, I0 to I3 indicating the TAI type determination results are displayed.
Are displayed as illustrations. Further, the TAI type obtained by the process of step S103 of FIG. 13 is highlighted. FIG. 32 shows an example in which the outer frame of the illustration corresponding to the determination result “C2” is highlighted with a thick line. Also,
An illustration according to the TAI determination result is displayed in the display area W18 in the screen, and a TAI summary print for printing a brief explanation of the TAI determination result is displayed in the display area W19.
Button SB5 is displayed. When this button SB5 is selected with a mouse or the like, the control device 1 causes the step S106 in FIG.
As shown in, the TAI summary (1) and TA shown in FIGS.
Print a total of 2 sheets of I Summary (2).

In the TAI summary (1), an area W20 in which the answer to the caregiver's question is described, an area W21 in which the current state of care and future predictions are described, and an area W22 in which the points of care are described. Is provided. Further, in the TAI summary (2), an area W23 in which an example of a proposal regarding excretion of a care recipient is described, an area W24 in which an example of a proposal regarding bathing is described,
An area W25 in which an example of a proposal regarding meals is described, an area W26 in which an example of a proposal related to movement assistance is described, and an area W27 in which an example of a proposal related to housework is described. Note that TA
The I summaries (1) and (2) are created based on the TAI type judgment result.

In the display area W19 in the screen showing the TAI type determination result shown in FIG. 32, a button SB6 for instructing the creation of a service plan (selection plan), which will be described later, and an instruction for creating a nursing care level authorization document The button SB7 to be displayed is displayed.

Here, when the button SB7 is selected, the control device 1, as shown in step S107 of FIG. 13, displays a general survey screen for setting the degree of long-term care and a question screen for certifying the degree of long-term care. And are displayed. 35 and 36 show an example of the general condition survey screen, and FIGS. 37 and 38 show an example of a question screen for certifying the degree of long-term care. In the overview survey screens of FIGS. 35 and 36, the contents of the nursing care service currently received by the care recipient and the living condition of the care recipient are input. Also, FIGS.
On the question screen 8 for certifying the degree of long-term care, the activity status and mental status of the care recipient are input. FIG. 37 shows a display example of questions and answers regarding the activity status of the care recipient, and FIG.
Reference numeral 8 shows a display example of questions and answers regarding the mental status of the care recipient.

When the customer answers on the question screens of FIGS. 37 and 38, as shown in the figure, an illustration showing the mental and physical condition and the nursing care condition corresponding to the answer result is displayed on the screen. As a result, the customer can visually understand whether or not his / her answer is intended.

When the customer completes the input on the general condition survey screen and the care degree setting question screen, the control device 1 creates the care service survey form shown in FIG. 39, as shown in step S108 of FIG. This nursing care service questionnaire is printed in a format that can be submitted directly to the Ministry of Health and Welfare. The control device 1 determines the personal basic information in step S102, the TAI type determination result in step S105, and the step S in FIG.
Based on the general survey for certification of degree of long-term care required in 106 and questions regarding degree of long-term care requirement certification, the desired information is entered in each input item of the long-term care service questionnaire before printing. Note that FIG.
Shows a part of the nursing care service questionnaire.

It is also possible to print a nursing care degree authorization summary, which is an outline of the contents filled in the nursing care service questionnaire. For example, FIG.
In this format, the answer to the care service questionnaire and the points of care are described for each item of meal, excretion, bathing, cleanliness, clothes, movement, housework, and management / information.

It is also possible to print the general condition of the care recipient. The general condition is, for example, in a format as shown in FIG. 41. The family diagram of the care recipient, main complaints and past medical history, problems in life service provision, main caregiver status, and living environment problems, The status of the service you are currently receiving,
Information about equipment used in daily life is described.

Next, the controller 1 carries out step S in FIG.
As shown in 109, the degree of long-term care required of the care recipient is estimated based on the contents of the care service questionnaire. The estimated result is displayed on the display device 2 in a format as shown in FIG. 42, for example. In the screen of FIG. 42, the degree of long-term care required for the care recipient is 7
The levels are divided into stages, and an arrow Y indicates to which level the care recipient corresponds.

On the other hand, when the screen showing the TAI determination result shown in FIG. 32 is displayed, if the customer does not select the button SB7 instructing the preparation of the nursing care level authorization document in the display area W19, As shown in step S110 of FIG. 13, the control device 1 estimates the degree of long-term care required of the care recipient using the TAI determination result, and displays the result in the same format as in FIG. 42.

Next, the controller 1 carries out step S in FIG.
As shown at 111, a service plan selection screen for selecting a care service plan is displayed on the display device 2. Figure 43
FIG. 6 is a diagram showing an example of a service plan selection screen. On this screen, select button SB8 to select a service-centered public care insurance plan that is provided by public care insurance, and a human service-centered care support plan to reduce the caregiver burden of caregivers. There are provided a selection button SB9 for selecting, a selection button SB10 for selecting an independence support plan centering on welfare equipment for assisting the function maintenance and independence of the care recipient, and a selection button SB11 for selecting an environment maintenance plan centering on home remodeling.

When the customer selects any one of the selection buttons SB8 to SB11 with a mouse or the like, a recommended plan corresponding to the selected button is automatically created, and the weekly plan, the welfare equipment plan and the house remodeling plan which constitute the recommended plan are automatically created. Each charge information is displayed in the display area W29. Weekly plan,
There are three types of welfare equipment plans and home remodeling plans, "pine course", "bamboo course", and "ume course", depending on the content of the service. The recommended plan of each course is created in consideration of the result of the TAI type determination process of step S103 and the result of the TAI subcategory process of step S104 of FIG.

In addition, in the service plan selection screen,
A needs selection button SB12 for selecting needs for creating a care service plan and a selection plan button SB13 for selecting a care service are provided.

When the customer selects the needs selection button SB12 with the mouse or the like, the control device 1 displays the needs selection screen shown in FIG. 44 on the display device 2 as shown in step S112 of FIG. This needs selection screen is for setting various kinds of information necessary to create a nursing care service plan for receiving certification of nursing care insurance. In the display area W29 of this screen, a list of problems to be solved in all aspects of life is displayed. The content displayed in this column changes depending on the TAI type determination result. When the customer selects any of the contents displayed in this field with the mouse or the like, the selected contents are displayed in the display area W30, the long-term goal corresponding to the contents is displayed in the display area W31, and the short-term goal is displayed in the display area. The contents of the nursing care service are displayed in the display area W33 in W32.

The contents displayed in the display areas W30 to W33 are
It can be changed, added and deleted arbitrarily using a mouse or keyboard. Further, the contents displayed in the display area W29 can be arbitrarily added or deleted by selecting the new creation button SB14 or the deletion button SB15.

When the customer finishes the selection on the needs selection screen, the control device 1 determines the care service plan as shown in FIG. 45 based on the setting contents on the needs selection screen as shown in step S113 of FIG. Create a calligraphy. This long-term care service plan conforms to the format specified by the Ministry of Health and Welfare, and the created long-term care service plan can be submitted to the Ministry of Health and Welfare as it is in order to be certified as long-term care insurance.

On the other hand, when the service plan selection screen shown in FIG. 43 is displayed, the customer selects the plan button SB13.
If is selected, the control device 1 causes the control device 1 to perform step S114 in FIG.
46, the selection plan screen shown in FIG. 46 is displayed. The display area W34 of the selection plan screen displays information about weekly plans for nursing care services, the display area W35 displays the selection contents of the welfare equipment together with the provision fee, and the display area W36 provides detailed contents of the home remodeling. Displayed with the price. Further, an illustration showing a state of nursing care is displayed in the display area W37, and an illustration showing a modified part of the house is displayed in the display area W38. Further, in the display area W39, a selection button SB16 for setting the weekly plan, a selection button SB17 for setting the detailed contents of the housing modification, a selection button SB18 for setting the detailed contents of the welfare equipment,
A selection button SB19 for displaying the service plan selection screen shown in FIG. 43 is displayed.

Here, when the customer selects the selection button SB16 with a mouse or the like, the control device 1 causes the control device 1 to perform step S115 in FIG.
47, the weekly plan setting screen shown in FIG. 47 is displayed on the display device 2. In the display area W40 of the weekly plan setting screen, the contents of the nursing care service to be provided are displayed divided into days of the week and time zones. Further, in the display area W41, icons corresponding to respective nursing care services which the customer can arbitrarily select are displayed.

On the weekly plan setting screen, as an initial state,
The TAI type determination process of FIG. 13, the TAI subcategory process of FIG. 14, and the recommended plan of the weekly plan according to the service plan selected by the customer are displayed. The customer can select any icon in the display area W41 and copy it on the time chart in the display area W40. As a result, the customer's own weekly plan for nursing care service can be created.

Display area W42 of the weekly plan setting screen of FIG.
In the same manner as the display area W39 of the selection plan screen of FIG. 46, a selection button SB20 for setting the weekly plan, a selection button SB21 for setting the detailed contents of the housing modification, and the detailed contents of the welfare equipment are displayed. Select button SB22 for setting,
Select button SB to display the service plan selection screen
23 and are displayed.

Here, when the customer selects the selection button SB21 with a mouse or the like, the control device 1 causes the control device 1 to perform step S116 in FIG.
As shown in, the home remodeling setting screen shown in FIG. 48 is displayed on the display device 2. The display area W43 of the house remodeling setting screen displays the specific remodeling location and its remodeling cost, and the display area W44 displays the house remodeling grade and the type of care recipient. Further, an illustration showing a remodeled portion is displayed in the display area W45, and an illustration showing a state of nursing before the remodeling and an illustration W showing a state of nursing after the remodeling are displayed in the display area W46.
47 is displayed.

On the home remodeling setting screen, as an initial state,
The TAI type determination process of FIG. 13, the TAI subcategory process of FIG. 14, and the recommended plan of the welfare tool according to the service plan selected by the customer are displayed. Based on the recommended plan, the customer can arbitrarily set / change the house remodeling location, the house remodeling grade, and the like, and thus can create the optimum house remodeling plan for the customer.

Some customers may desire to provide a security system. Therefore, as shown in FIG. 49, detailed items of the security system may be set in the house remodeling setting screen. Further, whether or not the detailed items of the security system can be set in the home remodeling setting screen may be automatically determined based on the contents of the personal basic information input in step S102 of FIG.

The screen display example of FIG. 49 shows a selection button SB20 for selecting a crime prevention system, a selection button SB21 for selecting an emergency notification system, a selection button SB22 for selecting an emergency system, and a fire protection system in the display area W48. Select button SB23 to select and select button SB24 to detect gas leaks
An example in which and are provided is shown.

In the display area W49 of the house remodeling setting screen of FIGS. 48 and 49, similarly to the display area W39 of the selection plan screen of FIG. 46, a selection button SB25 for setting a weekly plan,
Select button SB26 to set the details of the home improvement
And a selection button SB for setting the detailed contents of the welfare equipment
27 and a selection button SB28 for displaying the service plan selection screen are displayed.

Here, when the customer clicks the selection button SB27 with a mouse or the like, the control device 1 proceeds to step S of FIG.
As shown at 117, the welfare equipment setting screen shown in FIG. 50 is displayed on the display device 2. The welfare equipment setting screen is displayed by classifying the welfare equipment into 6 types according to their uses, and allowing each displayed welfare equipment to be arbitrarily selected. In FIG. 50, the checked welfare tool represents the currently selected welfare tool. Also, the display area W50 of FIG.
Indicates the total amount of the provision fee and initial cost per month of the selected welfare equipment.

On the welfare equipment setting screen, as an initial state,
The TAI type determination process of FIG. 13, the TAI subcategory process of FIG. 14, and the recommended plan of the welfare tool according to the service plan selected by the customer are displayed. The customer can arbitrarily change the setting of the recommended plan, and thus, the welfare equipment plan can be created in accordance with the customer's wishes.

As described above, in the second embodiment, not only the activity state, mental state, food intake ability, and excretion state of the care recipient, but also sub-categories such as the housework ability and bathing ability of the care recipient are considered. Since the TAI judgment is made by putting it in, the care type of the care recipient can be set more finely. Therefore, the reliability of the recommended plan created based on the set care type is improved. In addition, since the care service questionnaire and care service plan can be automatically created simply by answering the questions displayed on the menu screen, it is possible to save the trouble of the customer and prevent the care service questionnaire and the like from being filled in incorrectly. In addition, it is possible to change the automatically created recommended plan by simple steps and to display the state of nursing care when various nursing care services are provided, so that details of the nursing care service details Even a customer who does not have such a service can quickly set a desired care service without error.

(Third Embodiment) In the third embodiment, a financial plan is automatically created by combining public insurance for long-term care and various insurance products and long-term care loans that the customer has joined. .

The third embodiment is basically the same as that shown in FIG.
The same processing as the processing of the second embodiment shown in 14 is performed.

FIG. 51 is a diagram showing a display example of a selection plan screen in the third embodiment. The selection plan screen of FIG. 51 is different from the selection plan screen shown in FIG. 46 of the second embodiment in that a selection button SB29 for setting a financial plan is newly provided.

When the customer selects the selection button SB29 in FIG. 51, the control device 1 displays a fund plan setting screen as shown in FIG. On the financial plan setting screen, a display area W51 for displaying the service charge information of the care service selected by the customer.
, A display area W52 for displaying fund information on public long-term care insurance, a display area W53 for displaying fund information of various private insurance products, and a display area W54 for displaying the customer's self-pay amount.
And a display area W55 for displaying the total payment amount information.

As described above, in the third embodiment, since the financial plan can be made by combining the public long-term care insurance and various private insurance products, it is possible to make the most suitable financial plan for the customer. It is possible to provide optimal care services to customers within a reasonable range.

In the above-described embodiment, the control device 1 has described the flowcharts shown in FIG. 2, FIG. 4 and FIG. 5, but, for example, the processing program of these flowcharts is stored in a floppy disk, a CD-ROM, or the like. It may be stored in the recording medium, and the recording medium may be read and executed by a computer.

[0131]

As described in detail above, according to the present invention, a selection menu of care-related services and products suitable for the care type of the care-receiver is displayed, and care-related services and products are not selected. Since the illustration of the case and the illustration of the case where the care-related service and the product are selected are displayed, it is possible to visually understand the merits of receiving the provision of the care-related service and the product. In addition, when some nursing care related services and products are selected based on the selection menu, the service provision fee is displayed, so it is possible to create an optimal care plan according to the customer's payment ability in a simple procedure. it can.

Further, since the care type is determined in consideration of the subcategories such as the housework ability and bathing ability of the care recipient, the care type of the care recipient can be set more finely and the reliability of the recommended plan is improved. To do.

Furthermore, since the care service questionnaire and care service plan can be automatically created only by answering the question displayed on the menu screen, the caregiver can save time and the care service questionnaire and the like can be prevented from being entered incorrectly.

Further, since the financial plan can be made by combining public nursing care insurance and various private insurance products, the most suitable financial plan can be made for the customer, and the optimal nursing care can be made within a reasonable range. Services can be provided to customers.

[Brief description of drawings]

FIG. 1 is a block diagram of an embodiment of a care management system according to the present invention.

FIG. 2 is a flowchart showing a processing operation of the control device 1.

FIG. 3 is a diagram showing a display example of a menu screen for questions regarding meals.

FIG. 4 is a detailed flowchart of TAI type determination processing in step S2 of FIG.

FIG. 5 is a flowchart following FIG. 4;

FIG. 6 is a diagram showing an example of a recommended care plan stored in a storage device 4.

FIG. 7 is a diagram showing a display example of a main menu screen when a C3 type is selected.

FIG. 8 is a diagram showing a display example of a home helper menu screen.

FIG. 9 is a diagram showing a display example of a weekly plan setting screen.

FIG. 10 is a diagram showing a display example of a living environment maintenance menu screen.

FIG. 11 is a diagram showing a display example of a welfare tool menu screen.

FIG. 12 is a diagram showing a display example of a care plan sheet screen.

FIG. 13 is a flowchart showing a processing operation of the control device according to the second embodiment.

FIG. 14 is a flowchart following FIG. 13;

FIG. 15 is a diagram showing a display example of an opening screen.

FIG. 16 is a diagram showing a display example of a menu screen for inputting a current problem in nursing care.

FIG. 17 is a diagram showing a display example of a personal basic information input screen.

FIG. 18 is a diagram showing a display example of a screen for selecting the activity state of the care-receiver.

FIG. 19 is a diagram showing a display example of a screen for selecting a mental state of a care-receiver.

FIG. 20 is a diagram showing a display example of a screen for selecting the meal intake ability of the care giver.

FIG. 21 is a view showing a display example of a screen for selecting the excretion state of the care-receiver.

FIG. 22 is a diagram showing a display example of a screen for selecting the housework ability of the care recipient.

FIG. 23 is a flowchart showing TAI subcategory processing when it is determined to be B5 type.

FIG. 24 is a flowchart showing TAI subcategory processing when it is determined to be B4 type.

FIG. 25 is a flowchart showing TAI subcategory processing when it is determined to be B3 type.

FIG. 26 is a flowchart showing TAI subcategory processing when it is determined to be C4 type.

FIG. 27 is a flowchart showing TAI subcategory processing when it is determined to be C3 type.

FIG. 28 is a flowchart showing TAI subcategory processing when it is determined to be C2 type.

FIG. 29 is a flowchart showing TAI subcategory processing when it is determined to be I3 type.

FIG. 30 is a flowchart showing TAI subcategory processing when it is determined to be B2 type.

FIG. 31 is a flowchart showing TAI subcategory processing when it is determined to be B1 type.

FIG. 32 is a view showing a display example of a screen showing a TAI type determination result.

FIG. 33 is a diagram showing a print example of a TAI summary (1).

FIG. 34 is a diagram showing a print example of a TAI summary (2).

FIG. 35 is a diagram showing an example of an overview survey screen.

FIG. 36 is a diagram showing an example of an overview survey screen.

FIG. 37 is a diagram showing an example of a question screen for certifying the degree of long-term care.

FIG. 38 is a diagram showing an example of a question screen for certifying the degree of long-term care.

FIG. 39 is a view showing an example of a nursing care service questionnaire.

FIG. 40 is a diagram showing an example of a nursing care degree authorization summary.

FIG. 41 is a diagram showing an example of an overview.

FIG. 42 is a diagram showing an estimation result of the degree of long-term care required of a care recipient.

FIG. 43 is a diagram showing an example of a service plan selection screen.

FIG. 44 is a diagram showing a display example of a needs selection screen.

FIG. 45 is a diagram showing an example of a nursing care service plan.

FIG. 46 is a diagram showing a display example of a selection plan screen.

FIG. 47 is a view showing a display example of a weekly plan setting screen.

FIG. 48 is a diagram showing a display example of a home remodeling setting screen.

FIG. 49 is a diagram showing an example in which security system setting items are provided in a home remodeling setting screen.

FIG. 50 is a diagram showing a display example of a welfare equipment setting screen.

FIG. 51 is a view showing a display example of a selection plan screen in the third embodiment.

FIG. 52 is a view showing a display example of a financial plan setting screen.

[Explanation of symbols]

1 control device 1 2 display device 2 3 input devices 4 storage devices 5 printers 6 IC card recording device

─────────────────────────────────────────────────── ─── Continuation of the front page (56) Reference JP-A-8-36608 (JP, A) JP-A-8-30692 (JP, A) JP-A-6-149884 (JP, A) JP-A-7- 110832 (JP, A) Hisae Matsumoto et al., Research on Nursing Volume Measurement for Elderly Patients, Bulletin of the Department of Health and Health Sciences, Kobe University School of Medicine, Vol. 10, December 28, 1994, pp. 105-111 (58) Fields investigated (Int.Cl. ⁷ , DB name) G06F 17/60

Claims (10)

(57) [Claims] 1. A care management device for creating a care plan consisting of care services and products suitable for individual care recipients, the activity level, movement type, TAI type, presence / absence of problem behavior, and level of excretion control. Each of the care type consisting of input parameters, the storage device storing the recommended care plan corresponding to the care type, and the TAI type determination item consisting of four types of activity level, mental level, meal level and excretion level Level selecting means for selecting a level, and first judging means for judging whether or not the activity level selected by the level selecting means is a specific value or more, and if not, setting the TAI type as the first type And otherwise, determine whether the selected mental level is greater than or equal to a particular value, and if not, consider the second type In other cases TAI by the second determination means to be the third type
TAI type determination means for determining the type, auxiliary question means for selecting the movement type and the level of excretion control, the selected activity level, the presence / absence of problem behavior corresponding to the selected mental level, and the determination TAI
Recommended care plan selecting means for reading a recommended care plan from the storage device, which corresponds to a care type including a type, the selected movement type, and the selected level of excretion control, and the determined TAI type Or a main menu display control means for displaying on the display device a main menu for selecting an optionally selectable nursing care service and product corresponding to the nursing care type, and when the nursing care service and product are selected from the main menu And a detailed menu display control means for displaying a detailed menu for setting and changing items displayed on the display device, the care management device. 2. The detailed menu includes an area for displaying an illustration showing a care situation when the care service and the product are not provided, and an illustration showing a care situation when the recommended care plan is selected in the initial state. When the item is set and the item is set or changed, it has an area for displaying an illustration showing the nursing care situation when receiving the care service and the product corresponding to the setting and the change. The care management device according to claim 1. 3. The care management device according to claim 1, further comprising a charge display control means for displaying on the display device a charge of the care service and the product selected in the detailed menu. 4. An illustration showing a nursing care situation when the nursing care service and the product are not provided, and an illustration showing a nursing care situation when the nursing care service and the product selected in the detailed menu are received, The care plan creating means for creating a care plan including a charge for each of the detailed items of the care service and the product selected in the detail menu and a total charge of the charge for the care service and the product is provided. The care management device according to any one of 1 to 3. 5. The detailed menu display control means causes the display device to display a home helper menu screen for setting the use time zone of the home helper on a weekly basis. The listed care management device. 6. The detailed menu display control means comprises a first display area for displaying an illustration showing the state of the room and a second display area for displaying an illustration showing a nursing care situation when the house is not modified. , A third display area that displays an illustration showing the nursing care situation when a house is modified, a fourth display area that sets detailed items related to the type and type of living environment maintenance, and a detailed item related to the house modification 5. A housing environment maintenance menu screen including a fifth display area for setting is displayed on the display device.
The care management device according to any one of 1. 7. The detailed menu display control means changes the illustrations in the first and third display areas according to the setting result of each detailed item in the living environment maintenance menu screen. The care management device according to claim 6. 8. The subcategory selecting means for selecting each level of each item belonging to the subcategory including the housework ability of the care-receiver, wherein the TAI type determining means is the housework ability selected by the subcategory selecting means. The care management device according to any one of claims 1 to 7, wherein the care management device is determined to be one of a plurality of types obtained by dividing the third type into a plurality of types depending on whether or not is greater than or equal to a predetermined value. [Claim 9] Providing a public long-term care insurance plan centered on services provided by public long-term care insurance, a long-term care support plan centered on personal services to reduce the burden on caregivers, and welfare equipment A service plan selecting means for selecting any one of a plurality of nursing care service plans including at least one of an independence support plan centered around and an environmental maintenance plant centered on housing remodeling, and the recommended care 9. The care management apparatus according to claim 1, wherein the plan creating means reads out a recommended care plan corresponding to the plan selected by the service plan selecting means from the storage device. 10. A needs selecting means for selecting needs for creating a nursing care service plan used when applying for the application of public long-term care insurance, and the nursing care service plan based on the selection result by the needs selecting means. 10. The care management device according to claim 9, further comprising: a care service plan preparation means for preparing.